15700 SW ALDERBROOK DRIVE-1 1
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15700 SW ALDERBROOK DRIVE
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CVCITY OF TIGARD
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Owner:......T...4. ...�........................................... . ............Permit No...1357 ! ? wza
Building Address.....15700 5W Alderbrook Dr. F'
Certificate is hereby given this.. ...17......day of. . Au t18.t. ........, ly...7:7. %�<�►
• j, that said building may be occupied and rt "
(4 that it complies with all requirements of ,.
the Building Code fcr the City of Tig-ird, i M-1
as approved by the Tigard City Council. _'
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City 9 of Ti ard/ `
INSPECTION REQUEST
10-or
INSPECTION TIME : PERMIT NO. . ._
DATE: DATE ISSLEG:._.L_L_
OWNERS NAME
ADDRESS : -
CONTRACTOR DDRESS : _CONTRACTOR
TEST: Air ❑, Water,,p/, Visual [) , Laboratory C]
RESULT: Approved IQ , Disapproved ❑ , Pending 7j
SKETCH.
IN PECTOR DATE
NOTE: Attach supplemental tent date heret3
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UNIFIED SEWERAGE AGENCY NO. __JLt7_00
WASHINGTON COUNTY DATE 3-24-77
CITY
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APPLICATION FO,8 SEWER CONNECT'ON PERMIT
omER: _
OWNER'S ADDRESS:
STREET
CITY __STX_Tv_�----------- ZIP
BUILDING SITE: LOT-380 BLOCK ADDITION
TAX LOT NO. TYPE OF OCCUPANCY
ADDRESS 15700 SU Alderbrwk Dr.
DWELLING UNITS-1 FIXTURE UNITS --
SURCHARGE IF APPLICABLE
PERMIT FEE _- 75, _5
INSPECTION FEE 25•___- TOTAL DEPOSITED 600.
(NEW) (EXISTING) BUILDING SEWER SYSTE"A ._Fenno Creek
rhe Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LIN[ SIZE ..- INSTALLER
RECEIVED BY- t 1_
(ACENCY OR
S AGENT) j er
COMMENTS: Bldg. ]:,57-- _ _ - - ---- (% --- - - _ -- -
'This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APP'_ICATIQN 10F TIG ARD DATE _-24- 77 . 157
THE UNDEFISIGNED HEREBY APPLES FOR APERM11 FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERRPHONE—
OWNER , ° • 700 3W AldsrbLOT NO.x aAk ?x .
JOCi ADDRESS
HOME ADDRESS
ARCHI'I ECT ---
BUILDER �;;y !)k, ADDRE S ENGINEER
-yy _DESIGNER
SiRUCTURE _1_tNEW ❑REMOLtEL — GADDITION ❑REPAIR ❑RENEWAL _]FIRE DAMAGE ❑DEMOL.ITION
D RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'1 ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING_ OCONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED
❑SIGNS
OCCUPANr,.YI_.LAND USE ZONE "�r _BLDG.TYP' X14 FIRE ZONE PLAN CHECK BY •t� i — v--�—
ri} a�3 lel MK 1' - — —..._HEAT_
.. PLL+t ay.:iicc A.usaAkAk 1 ��i}�1 :L.! Kl,rnm@jflald u na
tram& dWel.ling w/attached 9aralo r 2 bedroom 2 bath —Y
OCC LOAD _.E_L9QHJ AQ_0, yf-I_QHL__.— -NQ- I.4BJ_E$ i► 4R �Q�Q �— --
__ VALUE 3?.IL0 Q&
NSUb-total
G DEPARTMENT SEt uACKS FRONT 1Q REAR
Permit - — - LEFT SLOE RIGHT SIDE
1360 as — --- - —THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS ;ONTAINED IN THE BUILDING CODE, ZONING
�Qp IREGUI ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFREBY AGREED THAT THF
IYORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANDSF9CIFICATIONS AND IA COMPLI ,•SCE WITH
_ ALL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR ANO SUB C;ONTRACTOW; TO HAVE CURRENT CITY BUSINESS
State Tax Q ¢� LICENSE. SEPARATE PERMITS v.-QUIRED FOR SEWER, PLUMBING ANO HEATING.
Total
BY
AVP ANT OR ACU Nt --------..
Approved _._. RL cv I,t N., ( - ---
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UA,rE INSP. TYPE IN;PECTION REMARKS PLUMBING DATE
Contractor /
Permit No. 121 _
,,CA YCy i -_--- - -- Rouph•in ____
J - -.�- ---- Fixture _
S�,�iL�,,'�"j• � -2,L-t-L..- -_ _ - - Final
----- ----- - --- HEATING -
t j L ti -- - Contractor
Permit No.
Gas or Oil
--- - ---- - --- ---------- Eouphh-in_
Final
-- -- - ------ - SEWER
Final
- DRIVEWAY
F-inal_ _
(Rain Drain) Final
', ^-_ __ -- ------- Sidewalk .-�.._
Curb &Street Final
Approach
BLDG DEf i. FINAL TEMPORARY CERTIFICATE OCCUPANCY
OCCUPANCY Final
r.:EFiTIFICATE -
Landscaping
Zornng Final
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Address ��..�� 6 , Permit No.
Permit charge22
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Owner � �� Connection fee
�l;•t c�1 f , t r 1h;Tta
Paid by
Type of building Date connected
Service rate / S,l.A Inspectiun fee
Contractor Paid by date
Size of connection Assessment Paid
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